Department of Vascular and Endovascular Surgery, First Medical Center of Chinese PLA General Hospital, Beijing, China.
Department of Vascular and Endovascular Surgery, First Medical Center of Chinese PLA General Hospital, Beijing, China.
Ann Vasc Surg. 2022 Jan;78:378.e17-378.e22. doi: 10.1016/j.avsg.2021.06.029. Epub 2021 Sep 3.
Splenic arteriovenous fistula is an uncommon aetiology of portal hypertension, which has definitive treatment effectiveness and good prognosis. We report a case of portal hypertension and gastrointestinal bleeding in the absence of hepatic parenchymal disease in a 50 year-old woman with multiple pregnancies. Abdominal computed tomography and transabdominal arteriography recorded the presence of tortuous and aneurysmal splenic arteries and the premature filling of enlarged splenic veins, which are highly suggestive of splenic arteriovenous fistula. The above vascular abnormalities were successfully treated by transcatheter embolization. No recurrence or other complications were observed. In addition, a literature review concerning splenic arteriovenous fistula published in recent 30 years was performed to further our understanding of the management strategy on this entity.
脾动静脉瘘是门静脉高压症的一种不常见病因，具有明确的治疗效果和良好的预后。我们报告了一例 50 岁女性，有多胎妊娠史，无肝实质疾病，但患有门静脉高压症和胃肠道出血。腹部计算机断层扫描和经腹动脉造影记录了迂曲和动脉瘤样脾动脉以及增大的脾静脉的早期充盈，高度提示脾动静脉瘘。上述血管异常通过经导管栓塞治疗成功。未观察到复发或其他并发症。此外，还对近 30 年来发表的有关脾动静脉瘘的文献进行了回顾，以进一步了解对该实体的治疗策略。
